Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ozone Park Medical Diagnostic Assoc PC

Organization Internal Medicine Physician · NPI 1629195938

Ozone Park Medical Diagnostic Assoc PC is an Internal Medicine Physician in Ozone Park, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9510 101st Ave
Ozone Park, NY 11416-2518
Phone: (718) 835-3800
Fax: (718) 641-3802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 120794 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 138339 (NY)

Record details

NPI number1629195938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Merrill Kaufman — President · (718) 835-3800
NPI enumeratedMarch 23, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address9510 101st Ave, Ozone Park, NY 11416-2518

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